What is a carer?
CONTENTS
A carer is someone who looks after a partner, family member, friend or someone
else who couldnt manage without their help. Carers may look after that person all of
the time or just some of the time, and they arent paid for the support they provide.
If you look after someone with multiple system atrophy (MSA), you may not see
yourself as a carer or be aware of the wide range of support available. Its only
natural to want to put the needs of the person with MSA first, but its really important
that you think of your own needs too. Caring is often physically and emotionally
demanding, and if you dont look after yourself, you wont be able to provide the
best possible care and support.
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This guide addresses some of the worries or problems you may face if you care for
someone with MSA. It looks at the practical, physical and emotional aspects of being
a carer.
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Useful contacts
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At the back of the guide youll find a list of useful contact details for organisations
that can provide further information and support. If you have a question that isnt
covered, please dont hesitate to contact us at the Trust.
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If someone close to you is diagnosed with MSA, many of the ideas and plans that you
had for the future will change. Thinking ahead and talking things though with the
person with MSA and health and social care professionals can help you prepare for
whats to come. Here are a few of the questions you may want to ask yourself.
There is plenty of information and support available for carers, from a wide range of
sources:
Practical aspects
Do you work and, if so, would you like to continue working while caring?
Is flexible working an option for you?
Can you afford to give up work? Do you have a mortgage to pay off? Do
you have access to a pension or savings?
Are you aware of your benefit entitlements, or do you need more information?
Do you have children or other family members to care for?
If you live with the person you care for, can you make any adjustments to
your home, for example, bringing a bed or washing facilities downstairs?
Is there any carer training available in your area that may help you?
Physical aspects
How is your health in general? Are you physically able to care for someone?
Are you eating properly and getting exercise?
Are you getting enough sleep?
Emotional aspects
How will caring for the person with MSA affect your relationship with them?
How will your relationships with other family or friends be affected?
Do you have family or friends to talk to about your
feelings and concerns? If not, who else is
there to support you?
Getting
Is there a carers support group in your area?
some sleep
Are you able to take a break and have
Making sure you
time for yourself? For example,
youll
get a good nights sleep
time to relax, see friends, or maybe
is extremely important. If
pursue a hobby or interest.
youre having trouble sleeping,
Think ahead
MSA is an unpredictable disease and the
condition of the person youre looking
after may change quickly. When it comes
to caring and living arrangements, try to
consider what their needs might be in one
or two years time, as well as right now.
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Carers Guide | Looking after yourself and the person you care for
Carers Guide | Looking after yourself and the person you care for
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After a diagnosis of MSA, its important you have the right support and expertise
around you. Because the symptoms of MSA vary from person to person, you should
ensure there is a team of specialists involved in providing care and treatment for the
person youre looking after:
Parkinsons nurse, community matron, neurology nurse (if available in your area)
Occupational therapist
Speech and language therapist
GP
Continence adviser
Physiotherapist
Social worker
Neurologist (a person with MSA is entitled to at least one appointment with a
neurologist every six months)
Ensuring these specialists are involved early on will make things a lot easier for you.
Besides offering expert support and advice, they will be in a good position to keep an
eye on the condition of the person youre caring for and anticipate any changes or
problems.
Respite care
There are a number of ways you can take a break from your caring role. These
include long or short-term residential respite, where the person you care for is
looked after by someone else in either residential or nursing care.
There is also domiciliary care, where someone comes into your home and takes
over care for a few hours or overnight. Sitting services are similar, but do not usually
provide personal care, for example, toileting. One example of a sitting service is the
Crossroads Care scheme a network of local, independent charities that support
carers and the people they look after, often through the
provision of flexible breaks.
You can find out more about Crossroads Care
and other respite services in your area on the
Carers Trust website.
Many hospices also provide short-term respite
care, including day care or even home visits.
To learn more about how hospices can help
you and the person you care for, at any stage
of their illness, see the next page.
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Carers Guide | Looking after yourself and the person you care for
Hospices may offer day care, short stays or longer term admissions. Some may even
provide home visits.
Whatever the location or duration, this respite care can be incredibly beneficial
both for the person with MSA and their carer. The person with MSA has access to
therapies and support and an opportunity to interact with new people, while their
carer gets a much needed break.
Carers Guide | Looking after yourself and the person you care for
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Carers assessment
Continuing
healthcare
This is free care outside of hospital
that can be arranged and funded by
the NHS. It can be provided in any
setting, including a care home, hospice or
the home of the person you look after.
To be eligible for continuing healthcare, the
person you look after must be assessed as
having a complex medical condition and
substantial, ongoing care needs. A team
of professionals will need to carry out an
individual needs assessment to determine
whether they are eligible.
For details, visit www.nhs.uk and search for
Continuing healthcare. In Scotland, visit
www.careinfoscotland.co.uk
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Carers Guide | Looking after yourself and the person you care for
Carers Guide | Looking after yourself and the person you care for
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Andrews story
Tips on getting help with
practical things
Request a carers assessment Social services can
do this at the same time that they carry out a needs
assessment for the person you look after. Contact
your local authority to arrange an assessment and
always request that it is carried out in person, not
over the phone.
Register as a carer with your GP Most practices offer
priority appointments for carers.
Seek out respite care
This might involve getting
a sitter in for a few hours a week, day care at
a nearby hospice (see page 7) or something
more long term. Try to build relationships with
care providers so that you can get a break
every now and again.
Offload everyday tasks If you arent keen on
the idea of getting someone else in to provide
care, think about which everyday tasks you
could pay someone else to do such as the
housework, gardening or DIY.
If you work, speak to your employer Explore
whether flexible working is an option for you.
Even if it isnt, its good to let your employer
know about your situation so they are aware of
the additional strain youre under.
Talk to your bank and a financial adviser Its a
good idea to do this as soon as possible after a
diagnosis of MSA. That way you can get everything
in order and hopefully put your mind,
and that of the person with MSA, at ease.
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Carers Guide | Looking after yourself and the person you care for
Dont be afraid
to ask for help
Family, friends and
neighbours often want to
help but dont know how. Give
them specific things you need
doing - like picking up some
milk or walking the dog.
Youll probably find theyll
be pleased to be
asked.
Carers Guide | Looking after yourself and the person you care for
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Carers Guide | Looking after yourself and the person you care for
Carers Guide | Looking after yourself and the person you care for
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Carers Guide | Looking after yourself and the person you care for
Tips on staying
healthy and
stress-free
Eat breakfast A good breakfast is
essential to set you up for the day and
give you the energy you need to get
through it. Itll also mean youre less
tempted to snack later on.
Do regular exercise Exercise helps us sleep
better, de-stress and stay healthy, so its
extremely important for carers. If you feel
like you dont have the time to exercise,
try incorporating it into your routine, for
example, by walking to the shops instead of
driving.
Keep your stress levels in check If you notice that youre starting to feel more
stressed, or that you are stressed almost all the time, talk to someone about it.
Your GP may be able to refer you to counselling or other methods of support.
Make sure you get enough sleep If the person you care for has sleep apnoea, a
common symptom in MSA, it can be distressing and interrupt your sleep. But sleep
apnoea can be managed using a piece of equipment called CPAP (Continuous
Positive Airway Pressure).
Accept the situation Sometimes it isnt possible for things
to be better or easier so its important to recognise how
well you are coping in a very difficult situation. Just
acknowledging this may help you feel better.
Carers Guide | Looking after yourself and the person you care for
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Find some time for you Even taking a short break from caring can make a huge
difference to how you feel and your energy levels. You can get details of respite
opportunities from the Carers Trust. Alternatively, ask your GP or social worker.
Talk to someone about how youre feeling Dont keep your emotions bottled up as
this could make you feel depressed, angry or resentful in the long term. If you cant
talk to family or friends, try to attend a local support group and chat to other carers.
Access support online If its not practical for you to attend a support group in
person, join the Trusts online forum. You can also use Skype to chat to other carers
youve met, or stay in touch with family and friends.
Keep doing something you enjoy This might be going to work, or something as
simple as reading, gardening or walking. Do anything that makes you happy, even if
its just for a few hours a week.
Support groups
Lots of carers find it useful to get to know
other carers of people with MSA through
a support group. Sharing your ideas and
experiences can really make a difference,
especially if you dont feel you can talk to
family or friends about what youre
going through.
The MSA Trust offers two types of support group: our online
forum, which is moderated by MSA Trust specialist nurses
and can be accessed through our website, and physical
support groups in different locations across the country.
You can find your nearest support group using the MSA
Trust Local Hub.
I carried on
working throughout
Marinos illness. It paid the
bills, but more importantly
I enjoyed my work and it
helped me keep some sense of
normality.
Linda, cared for her
husband
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Carers Guide | Looking after yourself and the person you care for
Carers Guide | Looking after yourself and the person you care for
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MSA Trust
020 7940 4666
www.msatrust.org.uk
MSA Trust Nurse Specialists:
Samantha Pavey (East of England)
0203 371 0003
samantha.pavey@msatrust.org.uk
Useful
contacts
Other organisations
Citizens Advice Bureau
www.citizensadvice.org.uk
Or visit your local bureau
(see the website for locations)
NHS
www.nhs.co.uk
Carers organisations
Carers Trust
www.carers.org
support@carers.org
Carers UK
0808 808 7777
www.carersuk.org
Carers Direct
0300 123 1053
www.nhs.uk/carersdirect
Working Families (helps working parents and carers achieve a
work-life balance)
0300 012 0312
www.workingfamilies.org.uk
advice@workingfamilies.org.uk
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Carers Guide | Looking after yourself and the person you care for
Carers Guide | Looking after yourself and the person you care for
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